The Lewis system is unique among blood group systems in that the antigens are not manufactured within the erythrocyte, nor do they form an integral part of the cytoskeletal membrane. While antibodies against antigens in this system are fairly commonly encountered, they are generally not considered to be clinically significant in transfusion. Because Lewis phenotype expression is based upon the interaction of several genes, and because the phenotype expression can be transient, the Lewis system is a unique system to learn about.
Presented by
Justin R. Rhees, MS, MLS(ASCP)CM, SBBCM
Assistant Professor, Medical Laboratory Sciences, University of Utah
